Distraction Osteogenic Maxillary Expansion (DOME) in the Treatment of Obstructive Sleep Apnea in Adults: A Systematic Review

• Grant number: 25/03538-9
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: August 01, 2025
• End date: July 31, 2026
• Field of knowledge: Health Sciences - Medicine - Surgery
• Principal Investigator: Almiro José Machado Júnior
• Grantee: Bruno Henrique Frauches dos Santos
• Host Institution: Instituto de Ciência e Tecnologia (ICT). Universidade Estadual Paulista (UNESP). Campus de São José dos Campos. São José dos Campos , SP, Brazil

Abstract

Obstructive sleep apnea (OSA) is a respiratory disorder caused by recurrent episodes of partial or total upper airway obstruction during sleep, resulting in sleep fragmentation and intermittent hypoxia. In adults, conventional treatment includes continuous positive airway pressure (CPAP) devices, orthognathic surgeries, and intraoral devices, but adherence can be low. Distraction osteogenesis maxillary expansion (DOME) has emerged as a promising alternative for patients with airway disorders secondary to maxillary hypoplasia. This study aims to perform a systematic review of the literature to evaluate the efficacy of DOME in the treatment of OSA in adults, considering polysomnographic parameters. (AU)